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20100101
20100131
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CSPAN 14
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CSPAN
Jan 4, 2010 8:00pm EST
insurance plans pay under part d of medicare for prescription drugs. they are taking advantage of their purchasing power. and we're relying on private insurers committee are' competition in part d of medicare, it isn't as effective as the v.a. which does take advantage of its market power. let me just talk for a moment on a private insurance. we rely on private insurance here. it's for-profit insurance. i think it leads to much higher health care costs. private insurers, obviously by definition, they have to make a profit. in addition to that they engage in marketing, they also engage in what we call medical understood writing, they have to hire a lot of actuaries to make sure that they're not taking on people who are too expensive. these are all very costly things. so that raises the price of private insurance. in addition, as i said, they don't have as much bargaining power so they also can't keep their prices low by taking advantage of the consolidated power that i'm talking about. so you might ask, why do we allow private insurance to have quasi-monopoly and the answer is t
CSPAN
Jan 11, 2010 8:00pm EST
the medicare advantage. we did nursing home standards and passed the law 25 years ago and have never had a hearing on that. long-term care insurance, are consumers protected? june 16th, termination of individual health insurance policies. if you are buying an individual family policy eiffel application, right? we had two hearings on this. when you fill up the insurance policy, most companies have about 1400 different codes. you go to the local drugstore in the fill up the prescription. if you trigger a code that will review your policy because with that code triggered might be very expensive medical treatment might be facing in the future and therefore they will jump you -- dump you. for instance, one family as they were filling out the form the told him to put out he was 180 pounds but he was really 250 pounds. they dumped him and said he lied on his application. when it terminated from your health insurance policy, who do you appeal to? the company that just the end user you do not have a repeal rights. -- the company that just dumped you so you don't have repeal rights. they're all ki
CSPAN
Jan 14, 2010 8:00pm EST
about the condition of social security and of medicare, both teetering the tremendous federal deficit that seems to be getting bigger and bigger and wondering, how in the world we are going to pay for this. >> you raise an extremely important point. a bit of history, and then my sense of what is next. at the beginning of 2009, it was theç general judgmentç of çeconomists, conservatives, moderates, liberals, economists all across the political spectrum that there was a real prospect our country could have had aç depressionú prospect of deflation. it said there wasç an argument then for stimulusç legislation. you can debate whether it should have included this or that or something else, but there was a consensus that some stimulus was needed. çnow, certainly, many months later, we wake up and our government owns a car companyt( an insurance company, an investment house, and people are çsaying, excuse me? what is next? çgivenç all of these deficits? and i do believe that it isççe for the government to put in place something of an exit strategy soç that, in some
CSPAN
Jan 12, 2010 8:00pm EST
to the president's bill, but asked in return for some relief of the reimbursement under medicare to the physicians elimination of this flawed formula that year after year after year forces the doctors to take these deep cuts so that they can't -- literally can't afford to continue to see medicare patients and of course the request, mr. speaker, at that particular meeting back in chicago probably last may or june of 2009 that there be some meaningful medical liability tort reform. the c.b.o., in fact, estimated that that would save $54 billion. just that one issue would save $54 billion. the c.b.o. says over 10 years, mr. speaker, i respectfully suggest that's a most conservative estimate on their part. i think it would be $54 billion each and every year over the next 10 years. but in any regard, i am blessed tonight to be joined by a number of the members of the g.o.p. doctors' caucus, and we're going to talk about the main theme of tonight, and that is the issue of transparency. and i want to get into that in just a second. nothing could be more important, particularly at this point, this 11th ho
CSPAN
Jan 19, 2010 8:00pm EST
% rate increase? senior citizens in my district on average saw a 45% increase in their medicare advantage plans. 45% one year increase. that's simply unsustainable and the government certainly is never going to balance its budget without addressing the cost of health care. the gentleman from ohio. mr. ryan: i'd like to say that this happened. we didn't end up here, you know, a couple of octobers ago and all of a sudden things were just -- happened. our government was controlled by a conservative, neoconservative ideology for most of the first decade in this country. or of this century. from 2000 to 2008 they controlled the white house and from 2000 to 2006 they controlled the congress. implemented their economic philosophy. hook, line and sinker. it got implemented, they controlled all the levers of government, passed their supply side economics, cut taxes for the wealthiest, that will stimulate the economy and, you know, everything will take care of itself, deregulate wall street, everyone will be honest with each other, no one would possibly do anything wrong if we just weren't watching
CSPAN
Jan 5, 2010 8:00pm EST
this historical legislation. it is right alongside such security and medicare. -- social security and medicare. >> in number of moderates have said [inaudible] what changes are critical? >> we want our final product to ensure affordability to the middle cows, accountability for the insurance companies, and by lowering costs for every stage. those of the standards that we have. >> [inaudible] >> i prefer to call and the public's options. we want to increase competition. there are ways to do that. we look forward to having those discussions as to reconcile the bill. unless the whole the insurance counties -- companies accountability, we will not have affordability for the middle class. we need to end discrimination on the basis of pre-existing conditions, to cap payments and co-payments. it is about affordability. that is essential to accessibility. we will have what we need to hold the insurance companies accountable. i contend that whatever we have coming out of this bill, we will hold them accountable. there will be crying out. -- they will be crying out. >> [inaudible] right now there has be
CSPAN
Jan 29, 2010 6:30pm EST
costs, all the insurance reforms, we're going to lower the costs of medicare and medicaid and it will not cost anybody anything. that is great politics, it is just not true. so there has got to be some test of realism in any of thesexd proposals, mine included. i have to hold myself accountable and guarantee the american people will hold me accountable if what i am selling does not actually deliver. >> mr. president, a point of clarification. what is in the better solutions book are all the legislative proposals that were offered. >> i understand that. i have actually read your bills. >> through 2009. >> i a understand. -- i understand. >> the summary document you receive this backed up by precisely the kind of detailed legislation that speaker pelosi android restoration have been busy ignoring for 12 months. >> i have read your legislation. i take a look at this stuff and the good ideas we take. here is the thing that all this have to be mindful of. it cannot be all nothing, one way or the other. would the mean by that is thisÑi if we put together a stimulus package in w
CSPAN
Jan 28, 2010 8:00pm EST
wanted system in which seniors don't have these huge gaps in their medicare prescription drug coverage. [applause] and where medicare itself is on a sounder financial footing. those are the things that we are fighting for. and i am not going to stop on them because it is the right thing to do and by the way, if you are serious about reducing our deficit and debt coming cannot accomplish it without reforming our health care system because that is what is gobbling up more federal dollars than anything else. i don't understand folks that say they don't want to see government spending under control and then are fighting controls at the congressional budget office says would cut a trillion dollars off our deficit over the next two decades. [applause] those aren't my numbers. now, we are never going to stop fighting to cut waste and abuse in washington. we do have to reign in death of his-- deficits that been accumulating. families across the country are tightening their belts and making tough decisions. it is time for the federal government to do the same and that is why i propose specific
CSPAN
Jan 22, 2010 6:30pm EST
't make some changes. now, here's the good news. compared to medicare, social security is actually in reasonably good shape, and with some relatively small adjustments, you can have that solvent for a long time. so social security is going to be there. i know a lot of people are concerned about it. social security we can fix. now, in terms of the cola, the formula -- cola stands for cost of living allowance, so it's put in place to make sure that social security is keeping up with inflation. here's the problem. this past year, because of the severity of the recession, we didn't have inflation; we actually had deflation. so prices actually fell last year. as a consequence, technically, seniors were not eligible for a cost of living adjustment, to have it go up because prices did not go up in the aggregate. that doesn't mean that individual folks weren't being pinched by higher heating prices or what have you, but on average prices went down. here's what we did. working with these key members of congress here, we did vote to provide a $250 one-time payment to seniors, which, when you
CSPAN
Jan 26, 2010 8:00pm EST
countries to provide necessary funding to avoid shortfalls in the medicare cost sharing program for low-income, qualifying individuals and for other purposes. the speaker pro tempore: under the speaker's announced policy of january 6, 2009, the gentleman from virginia, mr. goodlatte, is recognized for 60 minutes as a designee of the minority leader. mr. goodlatte: thank you, mr. speaker. mr. speaker, thomas jefferson once wrote, to preserve the independence of the people, we must not let our rulers load us with perpetual debt. we must make our election between economy and liberty or profusion and servitude. unfortunately, it increasingly appears congress has chosen the latter path of profusive spending and the servitude to big government that results therefrom. for the next 60 minutes, i and my colleagues are going to talk about the problems our country faces from a very different perspective than you have heard during the last 60 minutes. i want to start by pointing out the nature of this problem in terms of government spending. this chart shows the deficit each year starting in 2000 a
CSPAN
Jan 8, 2010 8:00pm EST
program. the medicare advantage program, medicare part b program, health care systems of switzerland or the netherlands arguably also germany contain many of the elements of the exchange. the health alliances are not which the clinton health plan wailled or exchanges. as were in our state based and private purchasing cooperatives which have been tried repeatedly and sometimes with success over the past two decades. the connecticut business industry association represented here today by mr. vogel represents a successful private purchasing cooperative. the of course will each model can be called an exchange they are in fact quite different. indeed the models represented by the house and senate bills are different in very significant ways. the focus of my paper and of my brief presentation this morning is on how the house and senate bills differ and on which model is most likely to result in the exchange the serbs' best the goals that an exchange is intended to fulfill. first, quickly let me ask you the question why do we need an exchange, what do we expect an exchange to accomplish. th
CSPAN
Jan 27, 2010 8:00pm EST
the deficit, cover the uninsured, and strengthen medicare for seniors and stop insurance company abuses, let me know. [applause] let me know. let me know. [applause] i am eager to see it. here is what i ask congress though. don't walk away from reform. not now. not when we are so close. let us find a way together and finish the job for the american people. [applause] let's get it done. let's get it done. now, even as health care reform would reduce our deficit, it is not enough to dig us out of a massive fiscal hole in which we find ourselves. it is a challenge that makes all the others that much harder to solve. and come up one that is then subject to a lot of political posturing. so, let me start the discussion of government spending by setting the record straight. at the beginning of the last decade, the year 2000, america had a budget surplus of over $200 billion. by the time i took office, we had a one-year deficit of over $1 trillion projected deficits of $8 trillion over the next decade. most of this was the result of not paying for two wars, to tax cuts and an expensive prescription
CSPAN
Jan 21, 2010 8:00pm EST
there with medicare. it is a caucus -- [unintelligible] we hear how they would prefer to go forward. but we will go forward. >> the message seems to be that they want to go in a more moderate direction. >> we have a responsibility to find common ground. 1/3 of the congress participated in those hearings in a bipartisan way. in many cases, some of the republican amendments were adopted. that made it clear that they are not for health care reform. we are. that is the extent that we can find our common ground between those two differences. it remains to be seen. the message from massachusetts is one that we have been hearing for a while about health care reform. it is really important -- and let me say this. as a former chair of the democratic party, i know that elections have an after-action review. there are many factors that contribute to the most votes. many people will be analyzing that for a while. there are times that there are as -- is public unease. let me just say that president obama, one year ago, stood on the steps of the capital and asked for actions to address the problems that our coun
CSPAN
Jan 6, 2010 8:00pm EST
to put 31 million more people onto the medicare rolls without increasing the number of doctors. does that work? snow. how does the congress respond to that? they say we are going to cut doctors' pay by 21%. is that going to get as more doctors and more medical care? of course not so they say we are going to cut $500 billion out of medicare. really? with the number of old people growing? i don't believe it. >> host: washington d.c., antoine joins us on the republican line, good morning. >> caller: hi, good morning and thank you for c-span. i have two quick questions. one was i needed more of an elaboration on why would the unemployment be so high if we were on the gold standard, and my second question is, instead of the bailout, would it make more sense to give more tax credits to people so they could stay in their homes and meet their mortgage requirements? >> host: professor? >> guest: i will talk about unemployment under the gold standard first. at you say your policy is going to keep the price of gold f
CSPAN
Jan 11, 2010 8:30pm EST
, the civil rights movement, social security, medicare, the minimum wage, the 40 hour week, the civil rights act and the voting rights act. that is what made the united states a beacon of hope in a confused and divided world. but, too many people now take for granted government's role as protector of wall street and the privilege. vaisse middle-class americans says overpaid and underworked. they see social security as a problem, rather than the only piece of our retirement system that actually works. they feel sorry for homeless people, but fail to see the connections between downsizing and outsourcing and inequality and homelessness. this world view has brought democrats nothing but disaster. the republicans responses to what for middle-class the false hope of tax cuts, tax cuts that end up enriching their rich, devastating the middle class by destroying the institutions like public education and social security that make the middle class possible. are you trying to tell me something? >> we are now into our q&a period. >> i'm not done with what i have to say and you invited me here to say i
CSPAN
Jan 26, 2010 8:00pm EST
of the country. most of the budget, as you know, our mandatory programs, social security, medicare, veterans programs. that's by far the lion share of the budget. and the next biggest share is the defense. that's not part of what the president is disgusting. he is talking about a shared the budget that is about 16217 that the overall budget, about one seventh of the budget that is domestic discretionary spending and here's proposing a freeze in those categories. so they're certainly not going to solve the problem. you will make a modest contribution to reducing long-term deficits and debt, although to make a contribution that grows over time, which is very important. much more has to be done as the white house has acknowledged. [inaudible] well, look on the there's no question in my mind that additional steps need to be taken to help build the environment in which jobs can be created. i asked the congressional budget office, what are the most effective things that could be done for job creation? they came back and said, in terms of federal policy, the most important things that could be done
CSPAN
Jan 20, 2010 8:00pm EST
medicare? i think we can do it better. to bring it back to the drawing board, there are some good things on a national plan being proposed. but if you look at this in a parochial matter, we have to look at massachusetts first. i felt as a legislator and a citizen that we have not done that very well. we always thought about washington first or the party first. the thing that i am hearing all throughout the state is what about us? thank you. nice to see. >> you ran as an independent. what is first on your agenda? to show that you are the independent that they wanted to send to washington. >> i have not had much sleep yet. but when i go down to washington tomorrow, i will meet with the delegation, all of which are democrats, and check in with the republican leadership, senator mccain who was helpful right from the beginning. people need to give me a chance to do a transition and see what is up -- what is on the agenda. i will look at each and every bill for its merits and how it affects our state and make the decision to say am i going to do this or do that. i don't think it is appropriate
CSPAN
Jan 25, 2010 8:00pm EST
in november? and also, are you willing for the government to not take its hands off my medicare? >> we may get at some point a crisis at which we can no longer avoid facing the issue. we are pointing out that crisis is sufficiently imminent that we have to move ahead, and we think that is likely to be persuasive. it is not that the leadership of the congress and the administration don't know about this problem, and it is not that they don't know what some of the options are. but so far, partisanship has prevailed, and we hope we can turn that around. >> yes. i think it is obvious that leadership in both houses know the problem is a big one. they know it is a bad one. if we can just add to the trepidation, to the fear, that this is something really big, and that we had better think big, act big and try to pull ourselves together so that we are doing something we wouldn't otherwise do, if we can't do that, we are not addressing the problem the right way. >> one more question. >> jackie holmes with the "new york times." i want to know, especially from senator domenici, one of the problems facing
CSPAN
Jan 28, 2010 8:00pm EST
, bring down the deficit, cover the uninsured, strengthen medicare for seniors and stop insurance company abuses, let me know. that is when i put my hand up because that is exactly what the republican health care proposal does. much more so than the proposal that he and democrat leaders are trying to shove down the throats of the american people. we are eager for the president to come to our retreat tomorrow. we are going to have an honest conversation about america's priorities and try to find ways to find common ground. the republicans have stood all year against their job killing agenda. republicans also have offered what i call better solutions. we're going to continue to go down the same path this year. we are going to look for common ground but we're not going to roll over on our principles. we are not going to vote for things that we believe that will hurt our country. at the same time, you will see us continue to work for better solution for the american people. as we go off to our retreat, republicans are going to work to develop better solutions but it comes to energy, the envir
CSPAN
Jan 14, 2010 8:00pm EST
of financial fraud cases from mortgage fraud to medicare and health care fraud to securities fraud to corporate malfeasance. i am proud that we have put in place in law enforcement response to the financial crisis that is and will continue to be aggressive comprehensive and well coordinated. but while the reach of our investigative prosecutorial function as broad we do not purport to have all the answers. as a general matter we do not have the expertise nor is a part of our mission to opine on the systemic causes of the financial crisis. whether the justice department's resources are focused on investigating and prosecuting crime. it is within this context that i am pleased to offer my testimony and contribute to your vital review. the department has a long history of prosecuting financial fraud and we will continue to do so, working in concert with their federal, state local tribal and territorial partners. the justice department is using every tool at our disposal including new resources at bense technologies and communications capabilities and the best talent we have to prevent, to prosecute
CSPAN
Jan 15, 2010 6:30pm EST
the rationale with respect to -- to general welfare. it is the provision that upheld the medicare law and -- the lawyers will support -- the lawyers will argue that out, that's my own judgment. but the reason your question is so important and i'm glad you brought it up now, is it highlights how do we find a balance in our country between individual freedom that we value so much and what happens when the exercise of individual freedom ripples over to the community at large and let me try to describe how i struck the balance. . . but we have a broad berth, a whole host of incentives and opportunities for individuals in the private sector to make their own judgments about health care. i feel very strongly about it. it is a bedrock principle of our constitution, individual freedom, a coalition, giving it the broadest space to the individual to make their own judgments. the question is, what happens if it has indications for everyone else? you ask about what is called, commonly, the individual mandate in the bill to purchase health insurance. people, there is a mandate already under federa
Search Results 0 to 20 of about 21